Transjugular liver biopsy

Workup

  • Post-txp TJ Bx can be difficult, watch for acute angle on CT

Supplies:

  • 9x30 cm sheath
  • Balloon occlusion catheter
  • Micropuncture kit
  • Bentson
  • MPA
  • Amplatz
  • TJ Bx kit

Steps:

Access with micropuncture

  • Bentson into IVC
  • Place 9x30 sheath
  • MPA + Benston to access RHV
  • Venogram
  • Place balloon occlusion catheter
  • Do pressure measurements: wedged, free, RA
  • Place Amplatz wire through BOC
  • Biopsy, engage, angle forward, take samples

Contributing Authors

Kevin Liu